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Same day surgery: a preschooler's experience.

M L Byers

    Maternal-Child Nursing Journal
    |January 1, 1987
    PubMed
    Summary

    This case study highlights how nursing care, including play, helped a 4-year-old boy cope with same-day surgery for ear tube insertion. Supportive nursing interventions fostered the child's confidence and sense of mastery.

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    Area of Science:

    • Pediatric Nursing
    • Child Psychology
    • Surgical Patient Care

    Background:

    • Same-day surgery for pediatric patients, such as myringotomy with polyethylene tube insertion, requires specific attention to the child's psychological well-being.
    • Understanding and addressing the coping mechanisms of young children undergoing elective procedures is crucial for minimizing distress.

    Observation:

    • A 4-year-old boy undergoing myringotomy and polyethylene tube insertion as a same-day surgery patient was observed.
    • Nursing care facilitated therapeutic play, allowing the child to express emotions related to the surgical experience.
    • The child's behavioral responses were monitored throughout the admission.

    Findings:

    • The child exhibited coping behaviors that indicated a positive adaptation to the surgical event.
    • Planned and supportive nursing interventions, including play therapy, were directly linked to the child's emotional processing.
    • The nursing approach promoted the child's sense of mastery and self-confidence post-procedure.

    Implications:

    • Therapeutic play is an effective nursing intervention for pediatric surgical patients.
    • Supportive nursing care can significantly enhance a child's coping abilities and psychological adjustment to surgery.
    • This case study underscores the importance of integrating psychosocial support into same-day pediatric surgical care pathways.

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